martin fox

STREAM: Podiatric Medicine & Diagnosis 

Martin Fox BSc, FFPM RCPS (Glasg), FCPodM

Martin works in the first NHS commissioned, podiatry-led, community-based lower limb vascular service, in Manchester, UK; providing early identification, diagnosis and best clinical management of people with suspected peripheral arterial disease (PAD), in partnership with primary care, vascular teams and others..(read more below).

Presentation: Peripheral arterial disease made easy for all podiatrists – early detection, effective triage and enabling life-long management

Peripheral arterial disease (PAD) is serious. If not diagnosed and managed optimally, it can too often result in avoidable heart attacks, strokes, early deaths and amputations. Early suspicion, accurate clinical diagnosis and confident triage into primary care led cardiovascular management for all, and vascular surgical referrals for those who have chronic limb threatening ischaemia (CLTI)... is a public health priority. Published surveys of podiatrists in Australia, New Zealand and the UK, looking at our current vascular assessment cultures and practice, show that most of us are way behind the curve on implementing best practice guidelines. This puts many podiatrists, our services, practices and ultimately our patients at unnecessary risk. Clinically assessing and diagnosing PAD and CLTI using international best practice guidance, can be quick to perform and lies within the potential knowledge, skillsets and capabilities of all podiatrists. A simple combination of established clinical assessment tests and approach is proposed, to be embedded into our clinical cultures and practice, whichever setting or niche of podiatry we work in. Saving more lives and limbs has never been so easy.       

Presented on: Thursday 22nd June

Workshop: Peripheral arterial disease (PAD) & chronic limb threatening ischaemia (CLTI) - Sorting cardiovascular risks from limb threats – using a 3Ps, WIfI & foot to femoral assessment approach 

A demonstration and case-based workshop, on the use of a simple combination of front-line, clinical tests, aimed at helping any podiatrist to identify whether people on our caseloads have PAD or CLTI or not, within just 10 – 15 minutes. Enabling appropriate, focussed and confident podiatry decisions & triage for treatment, cardiovascular risk management, or limb salvage intervention, depending on the presence and severity of any arterial disease detected.

Relevant for many people we see in podiatry clinics, with or without foot wounds, the workshop focus will be on interpreting the combination of :

  1. Pulse palpation - foot to femoral pulses (when is this needed?)
  2. Phase interpretation – Doppler waveforms (are they mono or multiphasic?)
  3. Pressure in mmHg – at the arm and ankle or toe (are the systolic pressures low, high, non-compressible or unusual?)   

Presented on: Thursday 22nd June

Repeat Workshop: Friday 23rd June

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Biography

Martin Fox BSc, FFPM RCPS (Glasg), FCPodM

Vascular Specialist Podiatrist

Manchester Local Care Organisation (NHS)

Martin works in the first NHS commissioned, podiatry-led, community-based lower limb vascular service, in Manchester, UK; providing early identification, diagnosis and best clinical management of people with suspected peripheral arterial disease (PAD), in partnership with primary care, vascular teams and others.

He has worked regionally in podiatry clinical effectiveness groups, nationally for the multidisciplinary collaboration Foot in Diabetes UK, periodically on the NICE Guideline Development Group for PAD & as the first vascular project lead for the Royal College of Podiatry (RCPod). He contributed to All Party Parliamentary Reports and Vascular Society of Great Britain & Ireland (VSGBI) publications on PAD, regularly presents and chairs at clinical conferences and has written many editorial journal articles on various aspects of high-risk foot care and lower limb vascular disease. He has also developed vascular educational content for the Podiatry Faculty of the Royal College of Physicians & Surgeons of Glasgow (RCPSG) and led on co-writing the chapter on circulatory disorders in Neale’s Disorders of the Foot and Ankle, 9th ed. He has played a leading role in getting the first Memorandum of Understanding written, between the RCPod and the VSGBI, agreeing a partnership approach to tackling PAD in the UK population, as well as in designing and delivering clinical vascular CPD lectures and workshops for the RCPod Vascular and Foot in Diabetes CPD Modules.

He is currently an elected council member with the Royal College of Podiatry, serving a second term and chairing the clinical senate committee. He has been awarded fellowships by the RCPSG and RCPod for his role in developing, delivering and promoting vascular podiatry within the profession and with other key stakeholders.

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Conference Organisers 

APodA Staff: Phil McShane, Katrina Den Elzen, Pauline Taylor, Maxine Gattuso, Sara Vigo 

(61-3) 9416 3544
89 Nicholson St, Brunswick East, VIC
events@podiatry.org.au

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